Fatores biomecânicos: uma análise do trabalho dos enfermeiros
DOI:
https://doi.org/10.18815/sh.2019v9n14.396Palavras-chave:
Ergonomia. Biomecânica. DORT.Resumo
Os fatores humanos e a ergonomia tem como cerne o domínio dos cuidados de saúde com foco na maximização do desempenho global dos sistemas. As atuais pesquisas sobre saúde e segurança do paciente tem centrado esforços na amplitude do termo resiliência do sistema. Assim dado o aumento de pesquisas de intervenção ergonômica na área da saúde e da importância dos fatores humanos e da ergonomia no âmbito hospitalar esse estudo tem por objetivo apresentar os principais problemas biomecânicos relacionados a atividade dos enfermeiros, por meio de uma revisão básica da literatura. Como resultado o estudo apresenta um dossiê dos estudos mais relevantes sobre riscos biomecânicos na atividade laboral dos enfermeiros. Conclui-se que ao setor da saúde no Brasil, não há ainda uma dispersão em grande escala dos equipamentos que visam prevenir os riscos biomecânicos relacionados a atividade laboral dos profissionais da saúde.
Referências
AZADEH, A. et al. A unique algorithm for the assessment and improvement of job satisfaction by resilience engineering : Hazardous labs. International Journal of Industrial Ergonomics, v. 49, p. 68–77, 2015.
AZADEH, A; ROUDI, E.; SALEHI, V. Optimum design approach based on integrated macro-ergonomics and resilience engineering in a tile and ceramic factory. Safety Science, v. 96, p. 62–74, 2017.
BAE, S.H., FABRY, D. Assessing the relationships between nurse work hours/ overtime and nurse and patient outcomes: systematic literature review. Nurs. Outlook, v. 62 (2), p.138e156, 2014.
BRASIL. Ministério da Previdência Social. Instrução normativa INSS/DC nº 98, de 5 de dezembro de 2003. Aprova Norma Técnica sobre Lesões por Esforços Repetitivos-LER ou Distúrbios Osteomusculares Relacionados ao Trabalhador. Brasília: Ministério da Previdência Social; 2003.
BRASIL. Ministério do Trabalho e Emprego. Disponível em: http://www.brasil.gov.br/economia-e-emprego/2017/04/dor-nas-costas-e-a-maior-causa-de-afastamento-do-trabalho Acesso em: 19 de jul. 2018.
CHANCHAI, W. et al. The impact of an ergonomics intervention on psychosocial factors and musculoskeletal symptoms among Thai hospital orderlies. International Journal of Environmental Research and Public Health, v. 13, n. 5, p. 1–10, 2016.
CHOI, S. D., BRINGS, K. Work-related musculoskeletal risks associated with nurses and nursing assistants handling overweight and obese patients: a literature review. Work, v. 53, p. 439-448, 2016.
D’ERRICO, A., et al. Low back pain and associated presenteeism among hospital nursing staff. Journal Occup Health, v. 55, p. 276-283, 2013.
D’ERRICO, A., et al. Risk factors for upper extremity musculoskeletal symptoms among call center employees. Journal Occup. Health, v. 52, p.115–124, 2010.
DANIELL, N.; MERRETT, S.; PAUL, G. Effectiveness of powered hospital bed movers for reducing physiological strain and back muscle activation. Applied Ergonomics, v. 45, n. 4, p. 849–856, 2014.
DOUGHERTY, L., LISTER, S. Moving and positioning. In: Dougherty. The royal marsden hospital manual of clinical nursing procedures. Ed. Wiley-Blackwell, West Sussex, UK, p. 279-332, 2011.
DREW, K. E., KOZEY, J. W., MORSIDE, J. M. Biomechanical evaluation and perceived exertion of a lateral patient-handling task. Occup. Ergon. v. 12 (4), p. 151-163, 2016.
DUL, J., NEUMANN, W. Ergonomics contributions to company strategies. Appl Ergon, v. 40 (4), p. 745–752, 2009.
GEIGER, J. S. Establishing a physical therapist-driven model of safe patient handling and movement programs in a general hospital. Work, v. 45, n. 2, p. 147–160, 2013.
GRANT, M. P. et al. An inspection tool and process to Identify modifiable aspects of acute care hospital patient care units to prevent work-related musculoskeletal disorders. Workplace Health & Safety, v. XX, n. In press, p. 1–15, 2017.
HARCOMBE, H., et al. Physical and psychosocial risk factors for musculoskeletal disorders in New Zealand nurses, postal workers and office workers. Inj Prev, v. 16, p. 96-100, 2010.
HEGEWALD, J. et al. Do technical aids for patient handling prevent musculoskeletal complaints in health care workers? - A systematic review of intervention studies. International Journal of Environmental Research and Public Health, v. 15, n. 3, 2018.
HENDRICK, H.W. Applying ergonomics to systems: Some documented “lessons learned”. Applied Ergonomics, v. 39, n. 4, p. 418-426, 2008.
HENDRICK, H.W. Ergonomics in organizational design and management. Ergomics, 1991, v 34, n. 6, p. 743-756.
HENDRICK, H.W.; KLEINER, B.M. Macro-Ergonomics: Theory, Methods, and Applications. Lawrence Erlbaum Associates, Publishers, Mahwah, 2002.
HIGNETT, S. et al. Human factors and ergonomics and quality improvement science: Integrating approaches for safety in healthcare. BMJ Quality and Safety, v. 24, n. 4, p. 250–254, 2015.
HOLLNAGEL, E. FRAM: the functional resonance analysis method modeling complex socio-technical systems. Burlington: Ashgate; 2012.
IEA. The discipline of ergonomics. Disponível em: . Acesso em: 20, set. 2017.
IIDA, I.; BUARQUE, L. Ergonomia: projeto e produção. 3.ed. São Paulo: Edgard Blucher, 2016. 850p.
KAJIKI, S. et al. A randomized controlled trial of the effect of participatory ergonomic low back pain training on workplace improvement. Journal of Occupational Health, v. 59, n. 3, p. 256–266, 2017.
KARSH, B.; WATERSON, P.; HOLDEN, R.J. Crossing levels in systems ergonomics: A framework to support mesoergonomic’inquiry. Applied ergonomics, 2013.
LEE, K. A., DZIADKOWIEC, O., MEEK, P. A systems science approach to fatigue management in research and health care. Nursing Outlook, v. 62 (5), p. 313-321, 2014.
LIMA, A. C., et al. Fatores associados à dor musculoesquelética em trabalhadores de enfermagem hospitalar. Revista de Enfermagem da UERJ, v. 22(4), p. 526-32, 2014.
MAO, X. et al. An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: A systematic review. Plos One, v. 10, n. 6, p. 1–19, 2015.
MARCONI, M. A.; LAKATOS, E. M. Fundamentos da metodologia científica. São Paulo: Altas, 320 p., 2010.
MBADA, C. E., et al.: Work-related musculoskeletal disorders among health workers in a Nigerian teaching hospital. TAF Prev Med Bull, p.11:583–8, 2012.
MOAZZAMI, Z. et al. Effect of an Ergonomics-Based Educational Intervention Based on Transtheoretical Model in Adopting Correct Body Posture Among Operating Room Nurses. Global Journal of Health Science, v. 8, n. 7, p. 26, 2015.
MORAES, K. N., et al. Fatores relacionados ao absenteísmo por doença em profissionais de enfermagem: uma revisão integrativa. Gestão e Saúde, v. 6 (1), p. 565-90, 2015.
OKUNRIBIDO, O. O.; MAGNUSSON, M.; POPE, M. H. The role of whole body vibration, posture and manual material handling as risk factors for low back pain in occupational drivers. Ergonomics, v. 51, p. 308-329, 2008.
PARENT-THIRION, A., et al. Fifth European Working Conditions Survey. Overview report. Dublin(Ireland): Eurofound, Report,160 p., 2012.
PAULA, E. A. et al. Qualidade de vida de trabalhadores com LER/DORT e lombalgia ocupacional atendidos no Cerest de Guarulhos, São Paulo. Revista Brasileira de Saúde Ocupacional, v. 41, n. 0, p. 1–11, 2016.
PUNNETT, L. et al. Estimating the global burden of low back pain attributable to combined occupational exposure. Am J Ind Med, v. 48, p.459-469, 2005.
RAMÓN, A. et al. DE ENFERMERÍA: REVISIÓN SISTEMÁTICA Y META-ANÁLISIS Occupational Exposure to Psychosocial Factors and Presence of Musculoskeletal disorders in Nursing Staff : A review of Studies and Meta-Analysis trastornos musculoesqueléticos ( TME ) son alteraciones. Rev. Esp. Salud Pública, v. 91, p. 1–27, 2017.
RATHORE, F. A.; ATTIQUE, R.; ASMAA, Y. Prevalence and Perceptions of Musculoskeletal Disorders Among Hospital Nurses in Pakistan: A Cross-sectional Survey. Cureus, v. 9, n. 1, p. 1–10, 2017.
ROGERS, B.; BUCKHEIT, K.; OSTENDORF, J. Ergonomics and Nursing in Hospital Environments. Workplace Health & Safety, v. 61, n. 10, p. 429–439, 2013.
ROQUELAURE, Y. Promoting a Shared Representation of Workers’ Activities to Improve Integrated Prevention of Work-Related Musculoskeletal Disorders. Safety and Health at Work, v. 7, n. 2, p. 171–174, 2016.
SANTOS, E. C. DOS et al. Prevalence of musculoskeletal pain in nursing professionals working in orthopedic setting. Revista Dor, v. 18, n. 4, p. 298–306, 2017.
STEEGE, L. M., et al. Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses. J. Nurs. Manag, v. 23 (2), p. 179-189, 2015.
STEEGE, L. M.; DYKSTRA, J. G. A macroergonomic perspective on fatigue and coping in the hospital nurse work system. Applied Ergonomics, v. 54, p. 19–26, 2016.
SZETO, G. P. Y., et al. Surgeons’ static posture and movement repetitions in open and laparoscopic surgery. Journal Surg. Res, p. 172:19–31, 2012.
TORTORELLA, G. L.; VERGARA, L. G. L.; FERREIRA, E. P. Lean manufacturing implementation: an assessment method with regards to socio-technical and ergonomics practices adoption. International Journal of Advanced Manufacturing Technology, v. 89, p. 3407–3418, 2017.
VANDERGRIFT, J. L. et al. Physical and psychosocial ergonomic risk factors for low back pain in automobile manufacturing workers. Occupational and Environmental Medicine, v. 69, n. 1, p. 29–34, 2012.
VANDERGRIFT, J. L., et al. Physical and psychosocial ergonomic risk factors for low back pain in automobile manufacturing workers. Occup. Environ. Med, v. 69, p. 29–34, 2012.
WATERS, T. R., et al. A cross-sectional study of risk factors for musculoskeletal symptoms in the workplace using data from the General Social Survey (GSS). J Occup Environ Med, v. 49, p.172-184, 2007.
WATERS, T., NELSON, A., PROCTOR, C. Patient handling tasks with high risk for musculoskeletal disorders in critical care. Crit. Care Nurs. Clin. North Am, v. 19, p. 131-143, 2007.
WILLIAMSON, A., FRISWELL, R. Fatigue in the workplace: causes and countermeasures. Fatigue: Biomedicine. Health & Behav, v. 1, p. 81-98, 2013.
WOODS, D. Four concepts for resilience and their implications for systems safety in the face of complexity. in press. Special Issue on Resilience Engineering. Reliab Eng Syst Saf, 2015.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Autores que publicam nesta revista concordam com os seguintes termos:
a. Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
b. Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
c. Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.(Veja Política de Acesso Livre).
